A 5-year-old boy presents with fever and a sore throat. Exam shows tonsillar exudates. Most likely diagnosis is:

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PN Pediatric Nursing Online Practice B Questions

Question 1 of 5

A 5-year-old boy presents with fever and a sore throat. Exam shows tonsillar exudates. Most likely diagnosis is:

Correct Answer: B

Rationale: Strep throat features fever and exudates, per IDSA. A, C-E differ.

Question 2 of 5

A 12-year-old girl appears with weight loss, heat intolerance, and palpitations. Physical examination reveals exophthalmos and a goiter. Most likely diagnosis is:

Correct Answer: B

Rationale: Graves disease fits weight loss, heat intolerance, exophthalmos, and goiter, per AAP (doc p150, Q584).

Question 3 of 5

A 14-year-old obese boy appears with polyuria and fatigue. Labs reveal blood glucose of 200 mg/dL and no ketonuria. Most likely diagnosis is:

Correct Answer: B

Rationale: Type 2 diabetes fits obesity, hyperglycemia, and no ketonuria, per AAP (doc p151, Q600).

Question 4 of 5

A 3-year-old boy presents with fever and a barking cough. X-ray shows a steeple sign. Most likely diagnosis is:

Correct Answer: B

Rationale: Croup shows barking cough and steeple sign, per AAP. A, C-E differ.

Question 5 of 5

A 5-year-old girl presents with fever and a red, swollen elbow. Aspiration yields gram-positive cocci. Most likely diagnosis is:

Correct Answer: A

Rationale: Septic arthritis fits fever and gram-positive cocci, per AAP. B-E lack infection.

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